Patient's question:
I have previously seen a doctor who said it was dysfunctional uterine bleeding. After my period in December, it stopped for a week, but then I started bleeding again two days after having sex.Doctor's answer:
Based on the situation you described, it is likely a manifestation of functional uterine bleeding, which occurs due to excessive estrogen secretion by the ovaries and a lack of progesterone. Intercourse can trigger bleeding, but it is not the primary factor. It is recommended to undergo a diagnostic D&C to determine whether it is in the proliferative phase or the secretory phase, thereby indirectly assessing the follicular development status and the presence of ovulation. Additionally, pathological examination after the diagnostic D&C can evaluate the condition of the endometrium and rule out malignant conditions such as endometrial cancer. If no abnormalities are found, artificial cycle therapy can be administered under medical guidance, and once the treatment is successful, it should not recur.